Making Every Contact Count with people with MSK conditions: Exploring physiotherapist acceptability

Abstract   There are known risk factors that are associated with the onset and exacerbation of musculoskeletal (MSK) conditions and pain. Physiotherapists are uniquely placed to deliver brief interventions with their patients. Healthy Conversation Skills is the main training component of the Wessex approach to Making Every Contact Count. Despite its potential for promoting MSK health and wellbeing, there is no evidence to support its acceptability within MSK services. This is the first known study to explore the use and perceptions of the Wessex model of MECC HCS within MSK services. A mixed method design was used. Phase one employed an online questionnaire, open to all professionals trained in MECC HCS, consisting of items relating to implementation outcomes. Barriers and facilitators to delivery were explored and mapped to the Theoretical Domains Framework. Phase two invited physiotherapists for a follow-up interview and qualitatively explored their acceptability of delivering MECC HCS to patients with MSK conditions. MECC HCS was found to be highly acceptable, appropriate, and feasible. Physiotherapists reported using their skills at least daily but missed opportunities for delivering MECC HCS were evident. Barriers mapped mostly to ‘Environmental Context and Resources’ on the Theoretical Domains Framework. Qualitative themes developed during phase two were: ‘Recognising the patient as the expert supports change', ‘MECC HCS improves physiotherapy practice', ‘MECC HCS shared problem solving reduces workload', ‘time as a perceived barrier to MECC HCS’ and ‘system-level support needed to sustain MECC HCS'. MECC HCS is a promising brief intervention for supporting people with MSK conditions. Further rollout of this intervention may be beneficial for meeting the goals of the NHS and Public Health England in prevention of MSK conditions and promotion of MSK health. Barriers associated with sustainability must, however, be addressed. Key messages • Making Every Contact Count Healthy Conversation Skills is considered a highly acceptable brief intervention for supporting behaviour change in people with musculoskeletal conditions. • Organisational, system-level barriers to implementation must be addressed in order to increase sustainability and enhance future roll out of the brief intervention.

There are known risk factors that are associated with the onset and exacerbation of musculoskeletal (MSK) conditions and pain. Physiotherapists are uniquely placed to deliver brief interventions with their patients. Healthy Conversation Skills is the main training component of the Wessex approach to Making Every Contact Count. Despite its potential for promoting MSK health and wellbeing, there is no evidence to support its acceptability within MSK services. This is the first known study to explore the use and perceptions of the Wessex model of MECC HCS within MSK services. A mixed method design was used. Phase one employed an online questionnaire, open to all professionals trained in MECC HCS, consisting of items relating to implementation outcomes. Barriers and facilitators to delivery were explored and mapped to the Theoretical Domains Framework. Phase two invited physiotherapists for a follow-up interview and qualitatively explored their acceptability of delivering MECC HCS to patients with MSK conditions. MECC HCS was found to be highly acceptable, appropriate, and feasible. Physiotherapists reported using their skills at least daily but missed opportunities for delivering MECC HCS were evident. Barriers mapped mostly to 'Environmental Context and Resources' on the Theoretical Domains Framework. Qualitative themes developed during phase two were: 'Recognising the patient as the expert supports change', 'MECC HCS improves physiotherapy practice', 'MECC HCS shared problem solving reduces workload', 'time as a perceived barrier to MECC HCS' and 'system-level support needed to sustain MECC HCS'. MECC HCS is a promising brief intervention for supporting people with MSK conditions. Further rollout of this intervention may be beneficial for meeting the goals of the NHS and Public Health England in prevention of MSK conditions and promotion of MSK health. Barriers associated with sustainability must, however, be addressed.

Key messages:
Making Every Contact Count Healthy Conversation Skills is considered a highly acceptable brief intervention for supporting behaviour change in people with musculoskeletal conditions. Organisational, system-level barriers to implementation must be addressed in order to increase sustainability and enhance future roll out of the brief intervention.
Abstract citation ID: ckac131.329 Parents' evaluations on the service delivery and communicatıon skills of the pediatric dentists

Aim:
In the study,it was aimed that parents who need oral health services for their children for any reason should evaluate pediatric dentists in terms of service provision and communication skills.

Methods:
The study was conducted with 123 parents who applied to a private oral health clinic in Ankara between 20/06/2021-20/07/ 2021.For parents,10 descriptive and 20 face-to-face questionnaires questioning service delivery and communication skills on a 5-point Likert scale were applied.

Results:
The mean age of the participants was 40.9AE5.9 years.Only 34.1%(n = 42) of the parents who needed oral health services for their children directly applied to the pediatric dentist,while the others 65.9%(n = 81) applied to dentists who were not pediatric dentistry specialists.The mean score of evaluation of parents' pediatric dentists in terms of service delivery and communication skills is 4.16AE0.44.When pediatric dentists were evaluated in terms of service delivery and communication skills.74.8%(n = 92) made the explanations in a way that they could easily understand,67.8%(n = 82) did not speak fast enough to prevent them from understanding the words,66.9%(n = 79) stated that they created an environment that respects privacy and 72.6%(n = 85) stated that they allocated enough time as ''always''.

Conclusions:
As a result, it has been determined that the frequency of parents applying to physicians who are not pediatric dentists for their children's oral health problems is high. However,the parents who applied to the pediatric dentist found the pediatric dentist to be more competent in terms of service delivery and communication skills.It is necessary to increase